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. 1971 Apr;46(246):221–227. doi: 10.1136/adc.46.246.221

Children Referred for Acute Dialysis

S R Meadow, J S Cameron, C S Ogg, H M Saxton
PMCID: PMC1647460  PMID: 5576037

Abstract

Acute unexplained renal failure of infancy and childhood is a rewarding condition to treat. Of 27 children referred for acute dialysis, only 3 died. Half were managed without dialysis, and of those dialysed, 6 recovered full or adequate renal function while 6 had end-stage renal disease requiring transplantation or regular dialysis.

Complications of the nephrotic syndrome causing hypovolaemic uraemia were a major cause of referral. Septicaemia was commonly associated with renal failure regardless of its aetiology.

The child in acute renal failure requires considerable resources in addition to dialysis. Therefore, peritoneal dialysis should not be started in paediatric units which do not have the skills and services required for full investigation and care.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Chamberlain M. J., Pringle A., Wrong O. M. Oliguric renal failure in the nephrotic syndrome. Q J Med. 1966 Apr;35(138):215–235. [PubMed] [Google Scholar]
  2. Conolly M. E., Wrong O. M., Jones N. F. Reversible renal failure in idiopathic nephrotic syndrome with minimal glomerular changes. Lancet. 1968 Mar 30;1(7544):665–668. doi: 10.1016/s0140-6736(68)92101-6. [DOI] [PubMed] [Google Scholar]
  3. Garnett E. S., Webber C. E. Changes in blood-volume produced by treatment in the nephrotic syndrome. Lancet. 1967 Oct 14;2(7520):798–799. doi: 10.1016/s0140-6736(67)92234-9. [DOI] [PubMed] [Google Scholar]
  4. Kunin C. M. A guide to use of antibiotics in patients with renal disease. A table of recommended doses and factors governing serum levels. Ann Intern Med. 1967 Jul;67(1):151–158. doi: 10.7326/0003-4819-67-1-151. [DOI] [PubMed] [Google Scholar]
  5. Lee H. A., Sharpstone P. Haemodialysis in paediatrics. Acta Paediatr Scand. 1966 Sep;55(5):529–535. doi: 10.1111/j.1651-2227.1966.tb15246.x. [DOI] [PubMed] [Google Scholar]
  6. Littlewood J. M., Kite P., Kite B. A. Incidence of neonatal urinary tract infection. Arch Dis Child. 1969 Oct;44(237):617–620. doi: 10.1136/adc.44.237.617. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Lloyd-Still J. D., Atwell J. D. Renal failure in infancy, with special reference to the use of peritoneal dialysis. J Pediatr Surg. 1966 Oct;1(5):466–475. doi: 10.1016/0022-3468(66)90135-7. [DOI] [PubMed] [Google Scholar]
  8. Meadow R., Cameron J. S., Ogg C. Regional service for acute and chronic dialysis of children. Lancet. 1970 Oct 3;2(7675):707–710. doi: 10.1016/s0140-6736(70)91972-0. [DOI] [PubMed] [Google Scholar]
  9. SQUIRE J. R. The nephrotic syndrome. Adv Intern Med. 1955;7:201–241. [PubMed] [Google Scholar]
  10. STANDEN J. R., NOGRADY M. B., DUNBAR J. S., GOLDBLOOM R. B. THE OSMOTIC EFFECTS OF METHYLGLUCAMINE DIATRIZOATE (RENOGRAFIN 60) IN INTRAVENOUS UROGRAPHY IN INFANTS. Am J Roentgenol Radium Ther Nucl Med. 1965 Feb;93:473–479. [PubMed] [Google Scholar]
  11. Saxton H. M. Nephrotomography simplified. Proc R Soc Med. 1968 Jan;61(1):27–31. [PMC free article] [PubMed] [Google Scholar]

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